Honors Program

Blah, blah, blah, some words here explaining your form.

Honors Option (choose one):*
- Honors In Research
- Honors in the Major (advisor sign-off required)
Name:*
First Last
Campus ID Number:*
UW-Madison Email:*
Phone Number:*
Student Status (choose one):*
- New Freshman
- Transfer / Continuing Student
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
High School Academic Information
Graduation Date:
Date Format: MM slash DD slash YYYY
Entry into UW-Madison Date:
Date Format: MM slash DD slash YYYY
High School Class Rank
Rank: Total Class Size:
SAT Scores
Math: Verbal:
ACT Scores
Composite: Math: Science: English: Reading:
College Transfer & Continuing Students Academic Information
Major:
UW-Madison GPA:
Advisor's Name:
First Last
Credit Completed:
Expected Graduation Date
Term: Year:
Statement of Benefit:*
Upload a brief statement (500 words or less) explaining why you are interested in pursuing the CALS Honors Program. How will the program contribute to your academic and career goals?
Accepted file types: doc, docx, pdf.

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